| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $147.91 | $208.93 | $562.34 | |
Cigna
| Professional | $162.18 | $269.15 | $602.56 | |
Emblem Health
| Professional | $208.93 | $288.40 | $398.11 | |
Horizon BCBS
| Professional | $147.91 | $257.04 | $812.83 | |
United
| Professional | $128.82 | $213.80 | $501.19 |